Deciding to get breast implants is only the beginning of the breast augmentation process. You will need to decide on a doctor, implant size and even texture. One of the most important decisions you will make will be regarding implant placement. You will have to decide if you want the implant placed on top of the muscles of the chest, or under them. There really is not a straightforward answer to this question. Each surgery candidate will have her own unique situation and preferences.
Every woman is unique, meaning that there will never be one solution that fits all women going in for breast augmentation. Different physical characteristics prevent different challenges that the patient and doctor must carefully weigh before making the final choice. Adding a uniquely challenging layer to this process is the medical terminology associated with this surgery. Deciphering what each option actually means in laymen’s terms is a very important step. A patient should never proceed with the surgery until she understands fully the pros and cons of each implant placement option.
The first option women have is the sub glandular positioning. This simply means over the muscle. The breast implant will reside above the patient’s pectoral muscle, but stay below her mammary gland. If this positioning is looked at from a strictly technically aspect, it is fairly obvious that all breast implants are sub glandular because every implant is set below the woman’s muscle and below the mammary gland. It is important to remember that this term, along with retroglandular and submammary, refer to placement under the mammary gland and above the pectoral muscle.
This positioning option, naturally, has both pros and cons. One of the biggest arguments for the sub glandular option is that it is less complicated procedure. A less complicated surgery often means that the patient will experience a quicker recovery and less pain.
Also, women with a smaller amount of breast sag may want to opt for the sub glandular position because it will give them some lift in their breast without having to undergo a mastopexy or breast lift. Women that are involved in bodybuilding often choose sub glandular because this positioning will allow them to have implants without the awkward appearance that flexing a muscle might cause if it’s over an implant.
On the down side, sub glandular procedures often result in capsular contracture. Also, women with this positioning will likely have a more difficult time during the mammography procedure. Rippling is also more common because there is no separation between the skin and the implant. Also, the likelihood of needing a breast lift later is higher with sub glandular placement.
The other available option is under the patient’s sub pectoral muscular. This position is commonly called sub muscular, retro pectoral and sub pectoral. The implant is positioned under the patient’s pectoral muscle. This placement is really only partially sub muscular. The bottom half of the patient’s implant is not covered by the pectoral muscle. This procedure often has a longer recovery time and more pain, but the rippling effect is minimized.
Obviously, in order to make the proper decision, you will need to prioritize the aspects of breast enhancement that are the most important to you. List out for your doctor in order what is most important. You can include things like:
· Cleavage
· Lack of Rippling
· Minimal pain and easy recovery
· Softness
· Bounce
